CMS Price Transparency Data

X-ray, foot

Facility: Physicians Care Surgical Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $1,887
  • Cash Discount Price: $1,509
  • vs. Medicare Baseline: 21.22x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Physicians Care Surgical Hospital is $1,887. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,509. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 21.22x the Medicare baseline. Located in 454 Enterprise Drive, Royersford, PA.
Cash / Self-Pay
$1,509

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,887

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $1,509 (1697%)
Insurance Median: $1,887 (2122%)
Cash: $1,509 (1697% of Medicare)
Ins. Median: $1,887 (2122% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2122% of the Medicare baseline (a markup of 2022%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Connecticare $69 78%
Blue Cross Blue Shield $160 - $2,038 180%
Highmark $160 180%
Aetna $205 - $2,113 231%
Ag Administrators $205 231%
Ag Administrators Inc $205 231%
Allied Benefit Systems $205 231%
Allied Benefits Systems $205 231%
Continental Benefits $205 231%
Coventry $205 231%
Geha $205 231%
Healthez $205 231%
Lucent Health $205 231%
Marpai Health $205 231%
Meritain Health $205 231%
Premier Care Network $205 231%
Trustmark $205 231%
Aarp $1,887 2122%
Cigna $1,887 2122%
Devon Health Services $1,887 2122%
Gpm Health And Life Insurance Mc Supplement $1,887 2122%
Humana $1,887 2122%
Ibc Security 65 $1,887 2122%
Keystone 65 Hmo $1,887 2122%
Medicare (plans) $1,887 2122%
Pcsh Aarp $1,887 2122%
Personal Choice 65 $1,887 2122%
Shenandoah Life $1,887 2122%
Tricare $1,887 2122%
Unified Health Services $1,887 2122%
UnitedHealthcare $1,887 - $4,003 2122%
Vibra Health Plan $1,887 2122%
Amerihealth Administrators $2,038 2292%
Amerihealth New Jersey Hmo $2,038 2292%
Carefirst Administrators $2,038 2292%
Empire Plan $2,038 2292%
Horizon Of New Jersey $2,038 2292%
Ibc $2,038 2292%
Ibc - Local $2,038 2292%
Ibc 2021 $2,038 2292%
Ibc Local $2,038 2292%
Independence Administrators $2,038 2292%
Independence Bc $2,038 2292%
Independence Federal $2,038 2292%
Keystone Direct Pos $2,038 2292%
Keystone Healthplan East $2,038 2292%
Keystone Hmo $2,038 2292%
Pcsh Ibc $2,038 2292%
Personal Choice $2,038 2292%
Regence Blue Shield $2,038 2292%
Allsavers $4,003 4502%
Golden Rule Op $4,003 4502%
Oxford Health Plan $4,003 4502%
Oxford Life Insurance Company $4,003 4502%
Surest $4,003 4502%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 454 Enterprise Drive, Royersford, PA 19468
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals